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Annual health check-up: why get one, what it includes, and how often

The annual health check-up is the appointment that many postpone from year to year because they feel fine and don't see the urgency. It is also the appointment that allows for the detection of what is not yet felt.

This information is provided for educational purposes and does not substitute for professional medical advice. Consult a doctor for any health concerns.

Regular check-ups help establish baseline values for blood pressure, blood sugar, and cholesterol before a problem arises. They allow for early detection of certain diseases when treatments are more effective. It's also an opportunity to review your lifestyle habits and receive tailored advice.

Cardiovascular diseases, type 2 diabetes, hypertension, and certain cancers often develop silently for months or years before causing symptoms. Regular medical check-ups can help detect them early.

What a typical health check-up includes

The doctor begins by discussing your medical and family history, current medications, lifestyle, diet, physical activity, alcohol and tobacco use—and any symptoms you're experiencing, even minor ones. This is often where important information surfaces.

The physical examination generally includes taking blood pressure, calculating body mass index, listening to the heart and lungs, and palpating the abdomen. Depending on your age and circumstances, other tests may be added.

The doctor may also request blood tests: fasting blood sugar (to screen for diabetes or prediabetes), lipid profile (total cholesterol, LDL, HDL, triglycerides), complete blood count (to detect anemia or infection), kidney and liver function, and TSH to assess the thyroid. A urine test can complete the picture to check kidney function or detect a silent infection.

Certains exams are added based on your age and sex. The recommendations of the Collège des médecins du Québec include colorectal cancer screening starting at age 50 (fecal occult blood test), mammography for breast cancer screening in women aged 50 to 74, the Pap test for cervical cancer, and a bone density scan to assess osteoporosis risk in certain women after age 65.

How often should I get a check-up?

It depends on age, medical history, and risk factors. Between 18 and 39 years old, if you are in good health, every 2 to 3 years is usually sufficient. Between 40 and 49 years old, every 1 to 2 years is often recommended. From age 50 onwards, an annual check-up with appropriate screenings makes more sense. If you have chronic illnesses or significant risk factors, your doctor will likely recommend more frequent monitoring.

Medical consultations related to a health check-up are generally covered by the RAMQ when they are part of ongoing medical follow-up. Some additional preventive examinations or check-ups offered in a private setting may incur fees. Your doctor can explain what applies to your situation.

Note your questions in advance. Bring a list of your current medications, including supplements and over-the-counter drugs. Be prepared to talk openly about your lifestyle habits; this is more helpful to the doctor than a polite answer. If fasting blood tests are planned, do not eat or drink (except water) for 8 to 12 hours before the blood draw.

Our service points in Quebec offer health check-up consultations. Our doctors can assess your overall health, order appropriate tests, and refer you to recommended screenings based on your age. In-clinic and telemedicine consultations, RAMQ and private services.

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author avatar
Diane Dufresne
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